An observational study to evaluate the Mukhyamantri Baal Hriday Upchaar Yojana (MBHUY) in a city of central India

Abstract

Introduction: Mukhyamantri Bal Hriday Upchar Yojna (MBHUY) is a Government scheme which was launched in the state of Madhya Pradesh (M.P) in 2011. Children suffering from congenital heart diseases have been identified and operated under Mukhyamantri Bal Hriday Upchar Yojna. The scheme has authorized 15 hospitals (10 in the state and 5 outside) for operative procedures. Present study was aimed to study the beneficiaries who have been operated and benefitted and to study the flow mechanism of grant provided under MBHUY and to identify the out of pocket expenses, if any.

Methodology: Cross sectional study on 80 children using Pre designed, Semi Structured Questionnaire was used for data collection using Convenient Sampling Information about MBHUY.

Conclusion: Majority of beneficiaries belonged to younger age groups (under five 76%, infants 48%) and their families represented all economic stata. Most common disease condition was VSD (30%) followed by ASD (18%). Anganwadi and health personnel were the main source of information and Chief Medical and Health Officer was the main procedural channel. No benificiery needed to go outside Indore for treatement. Benificiarries were allocated amount between 0.5 to 1.5 lacs in most of the cases. Time taken for approval of amount was 3 months and some benificieries needed to spend out of pocket in addition to support from of scheme.

Conclusions: The implementation of the scheme was in helping the benificieries in better utilization of medical services. Important concerns were time taken for approval of fund and need to pay out of pocket that need to be addressed urgently.